HESI PN EXIT V5 FINAL PAPER 2026 ACTUAL
EXAM QUESTIONS WITH CORRECT ANSWERS
◉ Orthostatic falls. Answer: The PN should obtain standing blood
pressure measurements to evaluate the orthostatic falls in the blood
pressure that can cause lightheaded or faint feeling when rising from
a lying position.
◉ Atopic dermatitis (Eczema). Answer: Heat and humidity can cause
perspiration, which intensifies itching with atopic dermatitis
(Eczema), so a client should be encouraged to shower, using non
perfume scented soaps.
◉ Rotating injection sites. Answer: The PN should reteach the client
to rotate the noon site to a site other than the same one used for the
AM dose.. Rotation is recommended for the dose used during the
one specific time of the day.
◉ Pain scale. Answer: A rating scale should be used by the client to
evaluate current pain. The PN should also determine when the last
pain medication was administered and the effectiveness of that last
dose.
◉ Nystatin administration to an infant. Answer: Nystatin is the most
commonly used antifungal agent for oral candidiasis. When
,administering nystatin to an infant, the medication needs to be
applied topically by using a gloved finger to rub the suspension over
the infected area.
◉ How do you prevent tissue loss in a client with hyperemia?.
Answer: The presence of reactive hyperemia occurs from pressure
causing dilation of superficial capillaries, and resolves without tissue
loss if the pressure if relieved. The UAP should be instructed in the
need to turn the client every 2 hours.
◉ PNs role during a fire alarm. Answer: The PN has the expertise to
determine how to safely transport and evacuate residents with
varying medical problems during a fire alarm.
◉ Intention of droplet precaution. Answer: Droplet precautions are
intended to prevent transmission of pathogens spread through close
respiratory or mucous membrane contact with respiratory
secretions and include keeping the door to the client's room closed.
◉ How should the PN respond to an RN who requested the PN to
administer unlabeled medication that the PN did not draw?. Answer:
The PN can respond in an assertive manner by refusing to
administer the medication but offering to assist the RN with another
task. An aggressive response is refusing to administer the drug while
not offering to help in another way.
, ◉ Slight bleeding during stoma care. Answer: While providing stoma
care with a client, it is a normal occurrence to see a little blood on a
washcloth due to the stoma being a very vascular site.
◉ Upright positioning. Answer: Sitting upright facilities diaphragm
excursion and enhances thoracic and abdominal expansion.
◉ What outdoor game provides socialization for older clients?.
Answer: An outdoor team game of ring-toss provides opportunities
for socialization, as well as exercise. The activity addresses the older
clients' psychosocial, interpersonal and physical needs.
◉ Where is the center of gravity in an elderly client?. Answer: The
center of gravity changes as a person age from the hips to the UPPER
TORSO.
◉ Where can hospice care be provided?. Answer: Hospice care can
be provided anywhere the client lives, including in the home, and
focuses on comfort, dignity and emotional support.
◉ A living will. Answer: Describes the clients desires regarding end-
of life care, but does not provide specifics regarding hospice care.
Under hospice care, medications are used for symptom control but
also for routine medical management or treatment of medical
problems. The client should plan to make decisions, in collaboration
with family members as desired by the client.
EXAM QUESTIONS WITH CORRECT ANSWERS
◉ Orthostatic falls. Answer: The PN should obtain standing blood
pressure measurements to evaluate the orthostatic falls in the blood
pressure that can cause lightheaded or faint feeling when rising from
a lying position.
◉ Atopic dermatitis (Eczema). Answer: Heat and humidity can cause
perspiration, which intensifies itching with atopic dermatitis
(Eczema), so a client should be encouraged to shower, using non
perfume scented soaps.
◉ Rotating injection sites. Answer: The PN should reteach the client
to rotate the noon site to a site other than the same one used for the
AM dose.. Rotation is recommended for the dose used during the
one specific time of the day.
◉ Pain scale. Answer: A rating scale should be used by the client to
evaluate current pain. The PN should also determine when the last
pain medication was administered and the effectiveness of that last
dose.
◉ Nystatin administration to an infant. Answer: Nystatin is the most
commonly used antifungal agent for oral candidiasis. When
,administering nystatin to an infant, the medication needs to be
applied topically by using a gloved finger to rub the suspension over
the infected area.
◉ How do you prevent tissue loss in a client with hyperemia?.
Answer: The presence of reactive hyperemia occurs from pressure
causing dilation of superficial capillaries, and resolves without tissue
loss if the pressure if relieved. The UAP should be instructed in the
need to turn the client every 2 hours.
◉ PNs role during a fire alarm. Answer: The PN has the expertise to
determine how to safely transport and evacuate residents with
varying medical problems during a fire alarm.
◉ Intention of droplet precaution. Answer: Droplet precautions are
intended to prevent transmission of pathogens spread through close
respiratory or mucous membrane contact with respiratory
secretions and include keeping the door to the client's room closed.
◉ How should the PN respond to an RN who requested the PN to
administer unlabeled medication that the PN did not draw?. Answer:
The PN can respond in an assertive manner by refusing to
administer the medication but offering to assist the RN with another
task. An aggressive response is refusing to administer the drug while
not offering to help in another way.
, ◉ Slight bleeding during stoma care. Answer: While providing stoma
care with a client, it is a normal occurrence to see a little blood on a
washcloth due to the stoma being a very vascular site.
◉ Upright positioning. Answer: Sitting upright facilities diaphragm
excursion and enhances thoracic and abdominal expansion.
◉ What outdoor game provides socialization for older clients?.
Answer: An outdoor team game of ring-toss provides opportunities
for socialization, as well as exercise. The activity addresses the older
clients' psychosocial, interpersonal and physical needs.
◉ Where is the center of gravity in an elderly client?. Answer: The
center of gravity changes as a person age from the hips to the UPPER
TORSO.
◉ Where can hospice care be provided?. Answer: Hospice care can
be provided anywhere the client lives, including in the home, and
focuses on comfort, dignity and emotional support.
◉ A living will. Answer: Describes the clients desires regarding end-
of life care, but does not provide specifics regarding hospice care.
Under hospice care, medications are used for symptom control but
also for routine medical management or treatment of medical
problems. The client should plan to make decisions, in collaboration
with family members as desired by the client.
